NPI 1164069050 · live from the CMS NPI Registry
Andrea Garcia Alfandre
Nurse Practitioner in Riverton, UT. National Provider Identifier 1164069050, active.
NPI record
| NPI | 1164069050 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 3723 W 12600 S Ste 270, Riverton, UT 84065 |
| Practice phone | 801-285-4600 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | December 10, 2019 |
| Last updated | February 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 11573489-4405 (UT) |
| Nurse Practitioner, Family | 363LF0000X | 11573489-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.